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題名：婚姻治療改變歷程之研究：以情感性疾患夫妻為例
書刊名：中華輔導學報
作者：梁淑娟 引用關係／趙淑珠 引用關係
作者(外文)：Liang, Shu-chuan／Chao, Shu-chu
出版日期：2005
卷期：17
頁次：頁69-103
主題關鍵詞：改變機制；婚姻治療；歷程研究；Mechanism of change；Couple therapy；Process of change
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(3) 專書(0) 專書論文(0)
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  • 共同引用共同引用:64
  • 點閱點閱:56
本研究係以一個歷經十九次婚姻治療之情感性疾患夫妻為研究參與者，於婚姻治療結束後採質性深度訪談，進行婚姻治療改變歷程之研究。旨在瞭解案家夫妻於婚姻治療中的知覺經驗、改變的療效因子與反療效因子，以及改變的機制與歷程。研究發現來自案家夫妻對治療的動機與承諾，以及治療的同盟關係等前置條件因素是改變的首要條件。治療室內的系統性療效因子則包括雙人組的家庭作業、反映關係位置、反映行爲互動模式、理解與認可雙方的感受、劃清次系統間的界限等。同時，研究並發現治療室外也有重要的影響因子存在；再者，研究也展現了系統改變的循環機制。本研究最後根據研究結果提出婚姻治療實務工作上與未來相關研究在方法論與議題上的建議，同時也以身兼治療師之角色提出對治療過程的反思。
Using a qualitative approach, the purpose of his study was to explore the process of couple therapy. The participants in this study were an affective disorder couple accepting couple therapy for 19 sessions. After the therapy, the couple were interviewed to understand their perceptions of the therapy, the therapeutic and the nontherapeutic elements, and the mechanism of change. The results were as follows: (1) the couple's motivation and commitment to therapy and the therapeutic alliance were the important therapeutic preconditions; (2) the systematiclly therapeutic elements of change included prescribing a dyadic homework, reflecting the relational position, reflecting the interaction pattern, understanding and validating the couple's feelings, and marking the subsystem boundaries. There were between-sessions factors. Basing on the findings, implications for couple therapy, and discussions and suggests for future studies were made.
期刊論文
1.張秀桃(19921200)。一個出現解離症狀婦女的婚姻治療。社區發展季刊，60，75-78。new window  延伸查詢new window
2.Christensen, L. L.、Russell, C. S.、Miller, R. B.、Peterson, C. M.(1998)。The Process of change in couples therapy: A qualitative investigation。Journal of Marital and Family Therapy，24(2)，177-188。  new window
3.Pinsof, W. M.(1989)。A conceptual framework and methodological criteria for Family Therapy Process Research。Journal of Consulting and Clinical Psychology，57，53-59。  new window
4.黃囇莉(20010600)。身心違常--女性自我在父權結構網中的「迷」途。本土心理學研究，15，3-62。new window  延伸查詢new window
5.楊連謙(20000300)。婚姻治療中賦權使能的歷程：一病態嫉妒個案的經驗。應用心理研究，5，213-250。new window  延伸查詢new window
6.Moon, S. M.、Dillon, D. R.、Sprenkle, D. H.(1990)。Family Therapy and Qualitative Research。Journal of Marital and Family Therapy，16(4)，357-373。  new window
7.Sells, S. P.、Smith, T. E.、Moon, S.(1996)。An Ethnographic Study of Client and Therapist Perceptions of Therapy Effectiveness in a University-based Training Clinic。Journal of Marital and Family Therapy，22(3)，321-342。  new window
8.Smith, T. E.、Sells, S. P.、Clevenger, T.(1994)。Ethnographic Content Analysis of Couple and Therapist Perceptions in a Reflecting Team Setting。Journal of Marital and Family Therapy，20(3)，267-286。  new window
9.Hill, C. E.、Thompson, B. J.、Cogar, M. C.、Denman, D. W. III(1993)。Beneath the Surface of Long-term Therapy: Therapist and Client Report of Their Own and Each Other's Covert Processes。Journal of Counseling Psychology，40，278-287。  new window
10.張達、陳珠璋、高淑芬(1990)。結構式家族治療個案報告。中華精神醫學，1(4)，63-72。  延伸查詢new window
11.熊秉荃、李朝雄、蕭淑貞(1993)。躁鬱病患者的家族治療：個案報告。中華精神醫學，3(7)，184-190。  延伸查詢new window
12.Baucom, D. H.、Shoham, V.、Mueser, K. T.、Daiuto, A. D.、Stickle, T. R.(1998)。Empirically Supported Couple and Family Interventions for Marital Distress and Adult Mental Health Problems。Journal of Consulting and Clinical of Psychology，66(1)，53-88。  new window
13.Bischoff, Richard J.、Mcbride, Andrea(1996)。Client Perceptions of Couples and Family Therapy。The American Journal of Family Therapy，24(2)，117-128。  new window
14.Gaul, R.、Smith, I.、Friedlander, M. I.、Heatherington, L.、Cutler, C.(1991)。Correspondence of Family Therapists Perceptions with FRCCCS Coding Rules for Triadic Interactions。Journal of Marital and Family Therapy，17(4)，379-393。  new window
15.Greenberg, L. S.、James, P. S.、Cory, R.(1988)。Perceived Change Process in Emotionally Focused Couple Therapy。Journal of Family Psychology，2(1)，5-23。  new window
16.Greenberg, L. S.、Ford, C. L.、Alden, L. S.、Johnson, S. M.(1993)。In-session Change in Emotionally Focused Therapy。Journal of Consulting and Clinical Psychology，61，78-84。  new window
17.Friedlander, Myrna L.(1990)。Couple and Family Therapy Alliance Scales: Empirical Considerations。Journal of Marital and Family Therapy，16(3)，299-306。  new window
18.Helmeke, K. B.、Sprenkle, D. H.(2000)。Clients' Perceptions of Pivotal Moments in Couples Therapy: A Qualitative Study of Change in Therapy。Journal of Marital and Family Therapy，26(4)，469-483。  new window
19.Holtzworth-Munroe, A.、Jacobson, N. S.、DeKlyen, M.、Whishman, M. A.(1989)。Relationship between Behavioral Marital Therapy Outcome and Process Variables。Journal of Consulting and Clinical Psychology，57(5)，658-662。  new window
20.Huber, Charles H.、Milstein, Barbara(1985)。Cognitive Restructuring and a Collaborative Set in Couples' Work。American Journal of Family Therapy，13(2)，17-27。  new window
21.Johnson, Susan M.、Greenberg, L. S.(1988)。Relating Process to Outcome in Marital Therapy。Journal of Marital and Family Therapy，14(2)，175-183。  new window
22.Johnson, S. M.、Hunsley, J.、Greenberg, L.、Schindler, D.(1999)。Emotionally Focused Couples Therapy: Status and Challenges。Clinical Psychology: Science and Practice，6(1)，67-79。  new window
23.Johnson, Susan M.、Williams-Keeler, Lyn(1998)。Creating Healing Relationships for Couples Dealing with Trauma: The Use of Emotionally Focused Marital Therapy。Journal of Marital and Family Therapy，24(1)，25-40。  new window
24.Kuehl, B. P.、Newfield, N. A.、Joanning, H.(1990)。A Client-based Description of Family Therapy。Journal of Family Psychology，3，310-321。  new window
25.Lebow, J. L.、Gurman, A. S.(1995)。Research Assessing Couple and Family Therapy。Annual Review of Psychology，46，27-57。  new window
26.Bowman, Lee、Fine, Marshall(2000)。Client Perceptions of Couples Therapy: Helpful and Unhelpful Aspects。American Journal of Family Therapy，28(4)，295-310。  new window
27.Pinsof, William M.、Wynne, Lyman C.(1995)。The Efficacy of Marital and Family Therapy: An Empirical Overview, Conclusions, and Recommendations。Journal of Marital and Family Therapy，21(4)。  new window
28.Prince, Stacey E.、Jacobson, Neil S.(1995)。A Review and Evaluation of Marital and Family Therapies for Affective Disorders。Journal of Marital and Family Therapy，21(4)，377-401。  new window
29.Sells, Scott P.、Smith, Thomas Edward、Coe, Mary J.、Yoshioka, Marianne、Robbins, John(1994)。An Ethnography of Couple and Therapist Experiences in Reflecting Team Practice。Journal of Marital and Family Therapy，20(3)，247-266。  new window
30.Smith, Jennifer C.、Brown, Robert A.(1994)。Ingredients of Successful Marital Therapy: A Survey of Therapists' Views。Family Journal，2(4)，317-330。  new window
31.Walker, Leslie G.、Patten, Morag I.(1990)。Marriage Guidance Counselling: II What Counsellors Want to Give。British Journal of Guidance and Counseling，18(3)，294-307。  new window
32.Wark, L.(1994)。Therapeutic Change in Couples' Therapy: Critical Change Incidents Perceived by Therapists and Clients。Contemporary Family Therapy，16(1)，39-52。  new window
會議論文
1.董秀珠、林萬億(2003)。當丈夫不再為經濟的靠山時：論夫妻間的權力與運作過程。「夫妻對偶互動關係研究」學術研討會。臺北：中央研究院中山人文社會科學研究所。(4)1-(4)33。  延伸查詢new window
2.楊連謙。面對困擾的青年父母。0。7.1-7.25。  延伸查詢new window
學位論文
1.賈紅鶯(2000)。以結構--策略學派的觀點建構一個家族治療的改變歷程(博士論文)。國立台灣師範大學，台北。new window  延伸查詢new window
2.Olson, Michael Mel(2001)。Clients' Perceptions of the Process of Couple Therapy: A Qualitative and Quantitative Investigation，0。  new window
圖書
1.Schutz, A.(1962)。Collected Papers, Vol. 1: The Problem of Social Reality。The Hague, Netherlands：M. Nijhoff Publishers。  new window
2.Nichols, M. P.、Schwartz, R. C.、郭靜晃、王慧玲、連雅慧(2002)。家族治療的理論與方法。台北：洪葉出版社。  延伸查詢new window
3.Pinsof, William M.、Greenberg, Leslie S.(1986)。Process Research: Current Trends and Future Perspectives。The Psychotherapeutic Process: A Research Handbook。New York, NY。  new window
4.Pinsof, W. M.(1981)。Family Therapy Process Research。Handbook of Family Therapy。New York, NY。  new window
5.Gurman, A. S.、Kniskern, D. P.、Pinsof, W. M.(1986)。Research on Marital and Family Therapies。Handbook of Psychotherapy and Behavior Change。New York, NY。  new window
6.Heiman, J.、Epps, P. H.、Ellis, B.(1995)。Treating Sexual Desire Disorders in Couples。Clinical Handbook of Couple Therapy。New York, NY。  new window
7.Pinsof, W. M.(1988)。Strategies for the Study of Family Therapy Process。The State of the Art in Family Therapy Research: Controversies and Recommendations。New York, NY。  new window
8.Schutz, A.(1962)。Collected Paper, Vol 2: Studies in Social Theory。Collected Paper, Vol 2: Studies in Social Theory。The Hague, Netherlands。  new window
9.Schutz, A.(1962)。Collected Paper, Vol 3: Studies in Phenomenological Philosophy。Collected Paper, Vol 3: Studies in Phenomenological Philosophy。The Hague, Netherlands。  new window
圖書論文
1.Alexander, J. F.、Holtzworth-Munroe, A.、James, P.(1994)。The Process and Outcome of Marital and Family Therapy: Research Review and Evaluation。Handbook of Psychotherapy and Behavior Change。New York, NY：Wiley。  new window
 
 
 
 
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